Use the following information about a child and her order/to compute answers for the next 2 questions. Mandy, a child who weighs 15 kilograms, is to be given amoxicillin. The recommended dosage of amoxicillin for children is 20 to 40 mg/kg/day P0 in equally divided doses administered Q8h. Amoxicillin 125mg/5mL is available in 100mL and 150mL pack sizes. Rx The pediatrician has ordered the following for Mandy: Rx: Amoxicillin 125 mg P0 Q8H x 8 ds 8. What is the recommended range in milligrams of medication for Mandy per day? Select one: a} 400mg-600mg/day b} 100mg-200mg/day c) 200mg-300mg/day d} 300mg-600mg/day 9. What pack size will be dispensed for Mandy, and how many mL per dose will Mandy's dad give her, with which household measuring device? Select one: a} 150m L, 5mL, a measuring teaspoon b} 150m L, 5mL, a measuring tablespoon c) 150m L, 5mL, medicine cup cl} 100m L, 15mL, a measuring teaspoon Use the following information about a child and her order to compute answers for next 3 questions. The recommended pediatric dosage of meperidine is 1.1-1.8mg/kg Q3-4h SC prn; do not exceed adult dosage of SO-lOOmg/dose. Meperidine HC Injection is available as SOmg/mL. You receive the following prescription order for a child who weighs 55lbs. Rx: meperidine 60mg SC Q3-4h pm for pain 10. What would be the recommended range of medication in milligrams that the child should receive? Select one: a} 25kg45mg/dose b} 27.5mg45mg/dose c} 25mg-45mg/dose cl} 11g18mg/dose 11. Is the order within the recommended range? Select one: a} Yes, it is within recommended range b} The Pharmacist can decide c} No, it is too high cl} Depends on what the doctor wants 12. If the order of 60mg was to be prepared, how many mLs would the patient receive per close? Select one: a} 0.2mL b} 1.2mL c} 1mL 13. You receive the following prescription order: Rx: Vincristine 1.5mg/m2 stat, inject slowly over 1 minute This patient is 137cm tall 8: weighs 85lbs. You have a stock solution of Vincristine 1 mg/mL available. What is the dose in mg this patient will receive? Select one. a} 2.42mg b} 2.21mg c} 1.82mg d} 1.47mg 14. How many mL of the above stock solution will you need to dispense. Select one: a} 1.82mL b} 2.42mL c} 22.1mL d} 0.147mL SHOW YOUR WORK. 1. An order of 2750mL must be infused over 22 hours using a set with a drop factor of 15gtt/mL. What is the flow rate (gtt/min)? Select one. a) 22gtts/min b) 30gtts/min c) 31gtts/min d) 27.5gtts/min 2. Rx: PenVee 300mg qid x 10ds Stock bottle: 1000 x 300mg tablets, $283.46. what should the cost be to fill this order? Select one: a) $12 b) $1.13 c) $110.34 cl) $11.33 3. With a mark up of 10%, what is the total cost to the insurer or patient? Select one: a) $1.24 b) $13.20 c) $121.35 cl) $12.46 4. With a fee of $11.95, what will the total Gross profit be for this prescription be? select one. a) $12.40 b) $13.08 cl $35.72 cl) $23.27 5. A pediatrician has ordered the following for a child who weighs 44lbs: Rx: Cephalexin 40mg/kg/day P0 divided Q6h x 10ds (Pack sizes available are Cephalexin 50mg/mL 100mL and Cephalexin 50mg/mL150mL) Using reconstituted cephalexin 50mg/mL, calculate the following: How many milligrams will the child receive? Select one: a) 800mg/dose,8000mg/day b) 200mg/dose,800mg/day c) 50mg/dose, 200mg/day 6. How many millilitres will the child receive? How many mls should be dispensed {pack size)? Select one: a) SOmL, 150mL and 100mL b) 4mL/dose, 160mL c) 4mL/dose, 2 x 100mL d) 40mL/dose,100mL 7. You receive the following prescription order: Rx: Drug C 1:30 solution; M:480mL How many mL of each of the following Drug C stock solutions will be required to prepare this order? Drug C 1:10 Drug C 1:50 Select one: a) 80mL of 1:10 and SOOmL of 1:50 b) 80mL of 1:10 and 400mL of 1:50 c) 40mL of 1:10 and 400mL of 1:50 d) 0.6 ml 22. An IV of dextrose 12.5%, 500ml is ordered. The pharmacy only stocks D10W and D20W. How many ml of each will be required to fill the order? Select one: a) 125mL of D20W and 375mL of D10W b) 375mL of D20W and 125ml of D10W c) 126mL of D20W and 376ml of D10W 23. Folic acid 50mcg/ml, 30mL Is ordered. The stock vial Is 5mg/mL. How many ml of folic acid and sterile water are required to fill this order? select one. a) 0.3ml, 29.7ml 300mL, 270mL c) 0.03mL, 2.97ml d) 30mL, 297ml 24. You receive the following prescription order. Rx: Penicillin 5 million units in NS (normal saline) 100mL 94h Penicillin Is available as 500 000 units/5mL How many ml of Penicillin 500 000 units/5mLare needed for this dose? Select one: a) 10mL b) 0.1ml c) 50mL d) 5mL 25. You receive the following prescription order: Rx: Heparin 25000units/250mL The patient has 200ml remaining in their W bag. How much heparin 10 000 units/ml should be added to the patient's current IV bag? Select one: a) 200mL b) 50ml C) 10mL d) 2ml 26. If you add 30ml of 1:400 of Solution A to 270ml of water, what is the resulting concentration? Select one: a) 0.025% b) 0.3% c) 0.35% d) 0.15% 27. If you have to prefill as many 30g jars of Hyderm 1% cream from a 500g jar of bulk Hyderm 1% cream as possible, how much cream will remain? select one: a) 30g b) 20g C) 480g d) 25g 28. You receive the following prescription order: Rx: Drug A 40mmol/L The patient has used 70% of a 1L bag. Using stock solution of Drug, A 4mmol/ml, how many ml will you need to add to their current bag? Select one: a) 4ml 12ml C) 3mL15. You receive the following prescription order: Rx: Sargramostim 250mcg/m2/day IV This patient weighs 20lbs & is 20cm tall. You have a stock solution of Sargramostin 500mcg/ml available. What is the dose in mg this patient will receive? a) Select one: b) 0.06mg c) 0.09mg d) 0.055mcg e) 85.39mcg 16. How many ml of the above stock solution will you need to prepare? Select one. a) 8.33ml b) 0.5mL C) 3000 mL d) 0.12ml 17. Patient: John Doe, DOB Feb., 19, 1956, Tel: 7055543261 Rx: Prednisone 5mg tab Sig: Take 50mg once daily for 7 days, then decrease by 10mg daily until finished Dr. A. Laforest CPSO 56789 Tel: 4164562323 (today's date) How many days will the duration of treatment be and how many tablets need to be dispensed? Select one: a) 20 days, 90 tablets 6) 11 days, 100 tablets c) 11 days, 90 tablets d) 10 days, 100 tablets 18. You receive the following prescription order: Rx: Miconazole 2% powder in Betaderm 0.5% ung + Bactroban 2% ung (1:1); M: 2 oz How many grams of each ingredient are required? Select one: a) 1.2g Miconazole, 2.94g Betaderm, 2.94g Bactroban b) 1.2g Miconazole, 29.4g Betaderm, 29.4g Bactroban c) 20z Miconazole, 1 oz Betaderm, loz Bactroban d) 12g Miconazole, 294g Betaderm, 294g, Bactroban 19. Rx: Clarithromycin suspension 75mg/ml Sig: 3ml BID x 7 days How many mg will be dispensed per dose and how many mis per entire course of therapy? Select one: a) 75mg, 75 mLs 6) 225mg, 42 mLs ) 42mg, 225 mLs d) 75mg, /mls 20. Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order. The usual adult dose of ceftriaxone (Rocephin) is 0.5 g per dose, administered BID. A child is to be given the medication based on her BSA and the usual adult dose. Her BSA is 0.51 m2. How many milligrams of ceftriaxone (Rocephin) should she receive per dose? Select one: a) 1765 mg b) 150 mg C) 980 mg d) 147 mg 21. The supply of ceftriaxone (Rocephin) is reconstituted to 250 mg/mL. How many milliliters of Rocephin should she receive per administration? Select one: a) 1.7 ml b) 0.5 mL c) 0.3 ml29. You receive the following prescription order: Humulin R 33 units/1L Using a 10ml vial with a concentration of 100units/ml, how many ml will you need to add to a 1000mL bag? select one: a) 0.33mLs b ) 3.3mLS c) 33mLs 30. An order is received for a patient who weighs 80lbs & is 130cm tall for Oricaspan 2500units/m2. What dose will this patient receive? Select one: a) 38.2ml 2865 units C) 1.14ml d) 9091 units 31. Using Oricaspan 750units/ml, how many ml will you need to dispense? select one: a) 4.4ml b) 0.26ml C) 3.82 ml d) 8.32 ml 32. You receive the following prescription order: Rx: 80ml of D5W with ABx (antibiotics) I over 60 min using a set with a drop factor of 20gtts/ml What is the flow rate (gtt/min)? Select one: a) 27gtts/min b) 27gtts/ml c) 6gtts/min d) 20gtts/ml 33. Which of the following are arranged from largest to smallest strength: select one: a) none of the answers b ) Synthroid 0.125mg, Synthroid 112mcg, Synthroid 0.088mg Synthroid 0.88mg, Synthroid 0.112mg, Synthroid 0.125mg d) Synthroid 112mcg, Synthroid 0.88mcg, Synthroid 125mcg 34. Prescription order: Rx: Venlafaxine 112.5mg PO QD x 1 month The following strengths of Venlafaxine capsules are available: 37.5mg 75mg 150mg Which of the following would be most appropriate to dispense? Select one: a) 150mg x 30 6 ) Both 75mg x 30 with 37.5mg x 30 OR 37.5mg x 90 c) 37.5mg x 90 d) 75mg x 30 with 37.5mg x 30 2) Both 150mg x 30 and 75mg x 30 with 37.5mg x 30 35. You receive the following prescription order: RX: Citalopram 10mg PO QAM x 1 week, then 20mg PO QAM x 2 weeks, then 30mg PO QAM x 1 month Citalopram is available in the following strengths: 20mg tablets 40mg tablets Which strength and quantity of tablet should be dispensed? Select one: a) 20mg x 63 tabs b ) 40mg x 41 tabs C) 40mg x 63 tabs d) 20mg x 41 tabs